Hossein Ebrahimipour; Saeid Karimi; Jamil Sadighifar; javad Ebrahimzadeh; Mohammad Taghi Arman; Somaye Afshari
Volume 10, Issue 7 , December 2014, , Pages 1075-1084
Abstract
Introduction: One of the most important dimensions of communities development is health development, in the other hand, is amount and quality of accessing of people to healthcare services. The purpose of this study is to evaluate and rank the Isfahan towns in terms of access to indices of health sector. ...
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Introduction: One of the most important dimensions of communities development is health development, in the other hand, is amount and quality of accessing of people to healthcare services. The purpose of this study is to evaluate and rank the Isfahan towns in terms of access to indices of health sector. Method: In this applied, analytical, cross-sectional Study, all Isfahan towns (n= 23) are surveyed in 2011. Data related to15 health indices were collected from the website of the Ministrry of Health and Medical Education and the Iranian Statistics Center. These indices were weighted by Shannon’s entropy. Finally, SAW (Simple Additive Weighting), TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) and VIKOR (Vlse Kriterijumska Optimizacija I Kompromisn Resenje) technique were used to rank the towns of the Isfahan in terms of access to health sector indicators. Results: Variable of access to health sector indicators is not distributed normally in Isfahan province. On the other hand, there is a great difference among the Isfahan towns in terms of access to health indicators. Shannon’s entropy showed that, the proportion of active treatment centers (weight=0.182) to every 10000 people is the most important indicator. According to Copeland method, the towns of Kashan and Barkhovar were ranked as the first and last in access to health services. Conclusion: According to unbalanced distribution of access to health indicators in Isfahan towns, it suggested that: when health policy makers and officials allocate budget and resources, should Take into account the rankings of towns. Keywords: Health Status Indicators; Techniques; Isfahan
Saeed Karimi; Leila Mohammadinia; Maryam Mofid
Volume 11, Issue 7 , December 2014, , Pages 1036-1046
Abstract
Introduction: Effective socialization can influence the proportion of a person – job, fit the person - group fitness person - organization, job satisfaction, organizational commitment, and consequently tend to increase survival and improve the efficiency and productivity of employees in organizations. ...
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Introduction: Effective socialization can influence the proportion of a person – job, fit the person - group fitness person - organization, job satisfaction, organizational commitment, and consequently tend to increase survival and improve the efficiency and productivity of employees in organizations. So this article is about the evaluation of relation between those variables in two groups of employees in selected hospitals in Isfahan. Method: This study is descriptive –correlation. The social is employees (nurses and official) of governmental educational Kashany, governmental uneducational Isabn Maryam , charitable Hojatie and private Sady hospitals in Isfahan province. for determination of socialization the Biligard questioner and for productivity of employees the productivity questioner based on Gold Esmit model are used that the justifiability and stability of them are confirmed by professionals . Socialization in four areas: education, understanding, supportive colleagues and prospects and productivity capabilities in the 7 range, clarity or understanding, support, motivation, evaluation, validation; environment have been investigated. Results: There is a direct and significant correlation between the entire areas of socialization (learning, understanding, support staff and future prospects of the organization) and a range of productivity (ability, clarity, support, motivation, evaluation, validation and environment) (p value <0.05). Increasing the efficiency of each of the areas of socialization is also increased productivity aspects. Personal characteristics such as age, sex, post, the history and the kind of employment, in spite of Sady hospital, haven’t any effect on socialization and productivity. Conclusion: Proper socialization increase employee involvement and commitment to the job and the organization, and ultimately the productivity and efficiency of the organization. Furthermore the management can use the benefit of employees and the productivity of the workforce as the most important asset in an organization's. Key words: Socialization; Productivity: Hospitals; Employees.
Saeed Karimi,; Najmeh Bahman Ziari
Volume 9, Issue 7 , December 2012, , Pages 1113-1122
Abstract
Health is a multi-core processing and is very important. On the one hand, many factors involved increating and sustaining it and is the result of the participation of all administrative units of a communityand on the other hand, has a significant impact on other sectors of a society. What is important ...
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Health is a multi-core processing and is very important. On the one hand, many factors involved increating and sustaining it and is the result of the participation of all administrative units of a communityand on the other hand, has a significant impact on other sectors of a society. What is important in thehealth care is equity. The present study aimed to review the fairness and justice of our health servicesduring the third and fourth development programs. This study conducted in 2012 by reviewing the libraryand internet to collect information about the subject. Then the research findings were organized andarranged. As was stated, although there are no shortcomings in terms of legal content and planning forexpanding equity in financial access, there are numerous problems and by ending the third and fourthdevelopment programs, there is no statistical analysis and annually documented reports to know to whatextent the goals have been achieved. Reviews showed that health sector policies could not significantlyimprove equity in financial access. However, we have made improvements to some extent but moreresearch is needed to find out the root causes of unsuccessful applications.Keywords: Equity; Health; Financial Indicators of Health; Development Plans
Saeed Karimi; Fatemeh Rezaei; Ayan Kordi
Volume 9, Issue 7 , December 2012, , Pages 1146-1151
Abstract
Introduction: The use of high-cost and high-tech magnetic resonance imaging (MRI) has expanded overthe past decade. A recently conducted research reported various causes with regard to their own countryand healthcare system included aging population and advances in diagnostic technologies which couldresult ...
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Introduction: The use of high-cost and high-tech magnetic resonance imaging (MRI) has expanded overthe past decade. A recently conducted research reported various causes with regard to their own countryand healthcare system included aging population and advances in diagnostic technologies which couldresult in diagnostic services to become more applicable in clinical arena. Increasing number ofradiologists, access to physicians and these types of services affect its use. This study aimed to determinethe level of magnetic resonance imaging service utilization in 2010-2011 for specialties, types of MRI andfund coverage.Methods: This was an analytical study. Information of various MRI types, prescribed MRI by eachspecialists and various fund of health insurance was extracted from the Isfahan Health Insurance, Irandatabase through census method during 2010 and 2011 midyears. Excel was used to analyze each group.Results: Over two midyears (2010-2011), total number of prescribed MRI increased about 177 MRIs.Neurologists and orthopedic specialists ordered the most scans (843 and 819 scans in 2011 and in 2012,respectively which was related to orthopedic specialists and then to neurologists) and were the mostfrequent users of CT/MRI scans. Abdominal scans (n = 1218) in 2010 and lumbar scans (n = 921) in 2011were the most ordered scans, respectively. The most prescribed MRI was related to governmentemployees fund (average number = 1472) and the lowest was related to self-employed insured fund(average number = 17).Conclusion: Increased number of performed MRI is rooted from different causes. Increased number ofMRI centers could cause an upward trend. Other effective factors in utilization these services would betime pressure for physical examination, professional uncertainty, patients' expectations to prescribe moredrugs and diagnostic services, lack of a proper payment system and inadequate payments to physicians
Saeed Karimi; Yousef Masoodian; Maryam Yaghoubi; Mohsen Hosseini; Jamil Sadeghifar
Volume 9, Issue 6 , March 2012, , Pages 780-785
Abstract
Introduction: One of the most important indices of effectiveness and delivery quality of sanitary andmedical services is patient satisfaction with hospital services. It is necessary that hospitals pay attention topatient's needs and ensure their satisfaction. Therefore the current study was conducted ...
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Introduction: One of the most important indices of effectiveness and delivery quality of sanitary andmedical services is patient satisfaction with hospital services. It is necessary that hospitals pay attention topatient's needs and ensure their satisfaction. Therefore the current study was conducted with the aim ofidentifying the level of patient satisfaction with hospital services delivered from the time of theiradmission to their release in educational hospitals of Isfahan, Iran.Methods: The present investigation is a descriptive and cross-sectional study conducted in the fall andwinter of 2009. The statistical population consisted of 196 patients referring to educational hospitals ofIsfahan. Simple random sampling method was used. The data collection tool was a researcher-madequestionnaire consisting of 66 questions on 5 areas. Content validity of the study tool was approved byprofessionals, and its reliability was approved by calculating Cronbach’s alpha (α = 0.87). Data wasanalyzed by SPSS software using chi-square test, Kruskal-Wallis test, and ANOVA.Results: The average score of patient satisfaction with outpatient admission was 15.5%, clinic physician27.9%, hospitalization admission 15.9%, nursing services 33%, hospitalization physician 38.6%, public andwelfare services 55.2%, hospitalization section 42.1%, and financial-administration section was 14.3%. Nosignificant correlation was observed between demographic characteristics and satisfaction score.Conclusion: The results showed that overall level of patient satisfaction with hospital services was low.Therefore, it is necessary to pay attention to activities and performance of different units of hospitals,identify factors causing dissatisfaction, and direct efforts towards eliminating the shortages andempowering the strengths. It is also necessary to plan for delivering higher quality services, securingfinancial benefits of the health section, and recognizing and amending some hospital procedures,especially admission and release procedures.
Saeid Karimi; ; Marzieh Javadi; Fatemeh Jafarzadeh
Volume 8, Issue 7 , January and February 2012, , Pages 984-996
Abstract
Introduction: Non-communicable diseases (NCDs) annually kill over 35 million people worldwide. They are responsible for nearly two-thirds of the world's deaths. Global health is facing a dramatic change. For the first time in human history, more than 80% of NCD-related deaths are in low- ...
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Introduction: Non-communicable diseases (NCDs) annually kill over 35 million people worldwide. They are responsible for nearly two-thirds of the world's deaths. Global health is facing a dramatic change. For the first time in human history, more than 80% of NCD-related deaths are in low- and middle-income countries. Countries throughout the world are expected to lose significant amounts of national income as a result of chronic diseases. The World Health Organization (WHO) announced that NCDs are expected to threaten the lives of 25 million people across the Middle East by 2015. The increased incidence of chronic diseases and epidemiological transition phenomenon in Iran would impose the country with the economic burden of chronic disease. This study aimed to review health and economic burden caused by this global problem. Methods: This study evaluated challenges and strategies to combat NCDs through reviewing available literature in digital and printed libraries from various scientific journals and reputable websites including Center for disease Control and prevention (CDC) and the WHO. Results: NCDs kill over 35 million people each year and thus threaten the development of countries. NCDs affect the poor and vulnerable population and make them even poorer. NCDS can be controlled through preventing their risk factors and benefiting from experiences of other countries.
Saeid Karimi; Sakineh Saghaeiannejad Isfahani; Mehrdad Farzandipour; Maryam Esmaeili Ghayoumabadi
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Designing and performing of minimum data sets (MDS) in hospitals and health centers can be considered as the beginning steps of any disease information management which result in improvement of the quality of care and disease control. Transplantation MDS with a set of definitions considered ...
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Introduction: Designing and performing of minimum data sets (MDS) in hospitals and health centers can be considered as the beginning steps of any disease information management which result in improvement of the quality of care and disease control. Transplantation MDS with a set of definitions considered as one the most important management decision making facilities which ensure accessibility to accurate health data. The main purpose of this work was to study the minimum data sets of health information management of organs transplantation in Canada, Malaysia and Australia, and present solutions for Iran.Methods: This research was an applied comparative study in 2009 which was conducted through three stages. At the first step, transplantation MDS in selected pioneer countries was studied via e-text and resources and compare with Iran situation systematically studied. At data analysis stage, the transplantation MDS at selected countries were compared using comparative tables method and difference and similarities were determined. Finally with respect to accumulated data, new organ transplantation registry forms were established for Iran.Results: A transplantation MDS was proposed as 23 forms in three categories (transplantation recipient registration forms, transplant candidate registration forms, transplant recipient follow-up forms, living donors and deceased donor registration forms) and approved by experts.Conclusion: In order to register all the possible data in future, it is necessary to establish different registry forms to prepare the most accurate set of data for organ procurement network. The prepared transplantation MDS as a set of forms will bring about costs controlling and promoting of organ transplantation management in Iran .Also assessment of the rate of organ donations survival establishment of appropriate polices will be possible through exploitation of extracted data from the prepared forms.Keywords: Data; Information Management; Transplants; Comparative Study.
Saeid Karimi; Sahar Vesal; Saeedeh Saeedfar; Mohammadreza Rezayatmand
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Insurance considered as the main financial resource of hospitalsBut hospitals have disagreement with insuring organizations in some financial cases and usually they do not received all their insurance claims. The aim of current research was to review the causes of deductions in insurance ...
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Introduction: Insurance considered as the main financial resource of hospitalsBut hospitals have disagreement with insuring organizations in some financial cases and usually they do not received all their insurance claims. The aim of current research was to review the causes of deductions in insurance bills in Seyed Alshahada hospital and suggest some suitable approaches.Methods: In this descriptive cross-sectional retrospective study, prescription information and records of patients referred to Seyed Alshahada Hospital (AS) in the second six months of 2007 were studied and information of patients with special diseases was extracted from. Sampling method was census records and during the study 4983 clinical prescriptions, 27238 paraclinical prescriptions and 3392 hospitalized case were investigated. Data was collected using a checklist which validity was confirmed by insurance experts and management specialists and analyzed by statistical and descriptive scales.Results: The highest prevalence and causes of deductions in clinical prescriptions was related to insurance organizations Komite Emdad (62%) due to confounding date. Next Rankings were Nirouhaye Mosalah, Tamin Ejtemaei and Khadamat Darmani insurances. The highest prevalence and causes of deductions in paraclinical prescriptions was related to insurance organizations Komite Emdad (45.3%) due to lack of prescriptions. Next Rankings were Nirouhaye Mosalah, Tamin Ejtemaei and Khadamat Darmani insurances.The highest prevalence and causes of hospitalization records deductions was related to Tamin Ejtemaei (74.4%) due to lock exorbitant. Next rankings were Khadamat Darmani insurance, Komite Emdad insurance and Nirouhaye Mosalah insurance.Conclusion: Most causes of outpatient deductions had direct correlation with organizational mistakes derived from hospital staff. In this field, educating physicians, nurses and other staff holding up in patients bill procedure seems to be necessary. On the other hand, the main cause for inpatient files as it was mentioned was due to extra demands, which did not count resources lose. Transparency of the deductions would reduce the disagreement between hospital and insurance organizations.Keywords: Insurance; Hospitals; Files; Inpatients; Hospital Records.
Mandana Sahebzadeh; Saeed Karimi; Sayed Mohsen Hosseini; Ghazaleh Akhtar Danesh; Sahar Hosseini
Volume 7, Issue 0 , December 2011
Abstract
Introduction: Job burnout results from the reaction to the chronic psychological stress and it mainly occurs in care services. It may lead to consequences such as job cost, reduced performance and fatigue. This study aimed to investigate the nursing administrators and chief executive officers job burnout ...
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Introduction: Job burnout results from the reaction to the chronic psychological stress and it mainly occurs in care services. It may lead to consequences such as job cost, reduced performance and fatigue. This study aimed to investigate the nursing administrators and chief executive officers job burnout in three areas of depersonalization, fatigue and emotional exhaustion and its relation to some demographic features in university hospitals of Isfahan.Methods: In This cross- sectional study 198 nursing administrators' (metron, supervisor and head nurse) and chief executive officers were enrolled in the first semester in 2010. Data collected using modified native Maslach & Jackson's job burnout questionnaire. Its Cronbach’s alpha was 86%. Data analyzed by SPSS16 software using descriptive and inferential statistics such as Kruskal- Wallis, regression, and chi-square tests.Results: 166 of the participants filled out the questionnaire. The participants were ranked from the highest rate of job burnout to the lowest in the following order: head nurses, supervisors, administrators who were a supervisor and a head nurse, metrons and chief executive officers. There was significant relationship between mean of job burnout and organizational status, sex and age in that head nurses had the highest mean and metrons had the lowest. However, there was no significant relationship between job burnout and marital status, educational level, the time and number of shifts, employment status and years of work in the current, position. There was significant relationship between emotional exhaustion and organizational status, so that head nurses had the highest and metrons had the lowest mean. There was no significant relationship between depersonalization and organizational status.Conclusion: Regarding the different levels of job burnout, it is necessary to adopt new policies for prevention of this phenomenon. The recognition of the problem, understanding the need to support, taking part in problem- solving activities considered as the most important factors in preventing the administrators' job burnout.Keywords: Burnout, Professional; Mental Fatigue; Chief Executive Officers, Hospital; Nurse Administrators; Hospitals, University
Feyzolah Akbari Haghighi; Hojat Zeraati; Saeid Karimi; Mohammad Arab; Marzieh Akbari Mousiabadi
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Appraiser is the main interface between the performance appraisal system and those being appraised. Their views and behaviors have different effects on the performance of the evaluation system, as well as the reactions subjects of the appraisal make toward the system and their subsequent ...
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Introduction: Appraiser is the main interface between the performance appraisal system and those being appraised. Their views and behaviors have different effects on the performance of the evaluation system, as well as the reactions subjects of the appraisal make toward the system and their subsequent performance. Hence, appraisers need to be trained enough regarding the appraisal. Therefore, the present research reviewed the role of training managers and decision-making network (appraisers) in evaluating the new appraisal system of government employees in Isfahan hospitals. Methods: This was an applied cross-sectional study in which all managers and decision makers of hospitals associated with Isfahan University of Medical Sciences (198 subjects) were included. Data was collected by a questionnaire. The reliability of the questionnaire was evaluated by test-retest. The validity of the questionnaire was approved by the opinions of experts as well as a Cronbach's alpha equal to 0.95. Data was then analyzed by Pearson correlation test, t-test, analysis of variance (ANOVA) and backward linear regression in SPSS. Results: Findings of this study indicated no significant relation between management experience among managers and decision-makers and their viewpoints toward the new appraisal system of government employees. However, a positive relation was observed between the history of participating in training courses and opinions toward the new appraisal system of employees. The appraiser's experience only had a positive relation with his viewpoints toward the effectiveness of the system in evaluating organizational framework of the hospitals. Conclusion: Training can improve the opinions of appraisers, as one of the most important elements of the appraisal system, and result in correct and effective evaluations. Keywords: Training; Employee Performance Appraisal; Hospitals.
Saeed karimi; Maryam Yaghoubi; Zahra Agharahimi; Hadi Hayati Abbarik; Roghaye Mohammadi Bakhsh
Volume 8, Issue 5 , November and December 2011
Abstract
Introduction: Outsourcing in health care sector is a cost-effective strategy that can lead to increased quality of services provided to patients. The aim of this study was to determine the types of outsourced services in educational hospitals in Isfahan and to investigate the viewpoints of managers about ...
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Introduction: Outsourcing in health care sector is a cost-effective strategy that can lead to increased quality of services provided to patients. The aim of this study was to determine the types of outsourced services in educational hospitals in Isfahan and to investigate the viewpoints of managers about the impact of outsourcing. Methods: This descriptive survey was carried out in 2010. Research population was all senior managers of educational hospitals and the Treatment Deputy of Isfahan University of Medical Sciences (n = 60). Data collection tool was a checklist and a questionnaire about factors related to outsourcing. The reliability and validity of the checklist and questionnaire have been confirmed (a = 0.80). Data is analyzed with SPSS18 software. Results: Among the treatment-paraclinical items, inpatient wards, physiotherapy, radiology and ultrasound had the highest rates of outsourcing (33%). Among non-medical services, housekeeping and facility engineering maintenance had the largest rates of outsourced units (100%). Of 60 managers, 53 agreed to answer the questionnaire (response rate = 88%). In managers' view, paying more attention to internal and external customers in private sector (57.2%) was the most important advantage of outsourcing. However, increased costs increase for patients (45.6%) was the most important disadvantage. Moreover, they considered forgetting the goal of outsourcing (efficiency) (60.6%) as the main barrier. Conclusion: Overall, managers thought outsourcing in health services organizations as rather acceptable. However, they also believed the barriers in implementation of outsourcing needed to be removed first. Fundamental infrastructure developments such as making competing market, promoting outsourcing-related culture, education, modifying the attitudes of managers and establishing incentive policies are required for successful implementation of outsourcing. Keywords: Managers; Outsourcing; Health Services.
Maryam Yaghoubi; Saeed Karimi; Saeedeh Ketabi; Marzieh Javadi
Volume 8, Issue 3 , July and August 2011
Abstract
Introduction: Length of stay is one of the most important and most practical indices used in hospitals today and presents the performance and efficiency of the hospitals. On the other hand, hierarchical analysis technique, one of the group decision making techniques, is utilized to determine priorities. ...
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Introduction: Length of stay is one of the most important and most practical indices used in hospitals today and presents the performance and efficiency of the hospitals. On the other hand, hierarchical analysis technique, one of the group decision making techniques, is utilized to determine priorities. Therefore, this study was conducted to identify the factors affecting length of stay in Alzahra Hospital based on hierarchical analysis technique. Methods: This descriptive cross-sectional survey included the management, chief, educational supervisor, and also nursing and ward managers of Alzahra Hospital in Isfahan during 2009. All the subjects were selected by census sampling method. Data collection tool was the paired comparisons questionnaire. Data analysis was done by Expert Choice software. Results: Generally, patient's underlying disease (0.245), availability of beds (0.203), being discharged before holidays (0.657), coordination between paraclinical and treatment units (0.294), health personnel's awareness (0.241), performing various graphies in the hospital (0.286), and nurses' sympathy with the patients (0.517) were the most effective factors on length of stay. Conclusion: Identifying the factors effective in shortening the length of stay is one of the main responsibilities of hospital managers. Factors related to patient visit, coordination with other sectors and patient characteristics are the most important and need more planning and attention from hospital officials. Keywords: Length of Stay; Analyic Hierarchy Process; Presonnel, Hospital.
Mahmood Keyvanara; Shirin Zardoeigolanbar; Saeid Karimi; Sakineh Saghaeiannejad Isfahani
Volume 8, Issue 1 , March and April 2011
Abstract
Introduction: Population-based mortality statistics are derived from the information recorded on death certificates. This information is used for many important purposes, such as development of public health programs and allocation of health care resources. Therefore, the accuracy of death certificate ...
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Introduction: Population-based mortality statistics are derived from the information recorded on death certificates. This information is used for many important purposes, such as development of public health programs and allocation of health care resources. Therefore, the accuracy of death certificate data is important. The aim of this study was to evaluate the quality of death certificates records and its recording accuracy in educational and non-educational hospitals in Kermanshah, Iran. Methods: In this descriptive and applied study, 321 death certificates of patients admitted and expired in educational and non-educational hospitals (1994 death) of Kermanshah, Iran during first six months in 2007 selected randomly and evaluated. Data was collected by a checklist which validity was approved by professionals. Obtained data analyzed using SPSS software and descriptive statistics. Results: 51.1% and 24% of death certification in educational and non-educational hospitals were qualified respectively. The demographic information of death certification were incomplete in 7.6% and 28.8% of cases in educational and non-educational hospitals, respectively. 3.3% and 12.2% of death certificates in educational and non-educational hospitals were filled by attending physician, respectively. In 33.7% and 45.4% of cases in educational and non-educational hospitals the mechanism of death or nonspecific condition listed as the cause of death, respectively. Regarding the cause of death in 64.1% and 74.7% of cases in educational and non-educational hospitals sequence of events dose not make sense, respectively. Conclusion: Current status of death certificate record quality in the hospitals, especially non-educational ones is inappropriate and needed to contemplate. Considering the importance and value of data contained in the death certificate and its many uses, it is necessary to improve the awareness of physicians about different types of errors in completing death certificates. Keywords: Quality Control; Cause of Death; Hospital, Teaching; Vistal Statistic.
Saied Karimi; Marzieh Javadi; Maryam Yaghoobi; Sogol Fathalizade; Maasoumeh Molayi
Volume 8, Issue 1 , March and April 2011
Abstract
Introduction: By considering daily progress of advanced technology and unimaginable advances in the management technology region, demand to educate and improve working personnel of administrative health and hygiene fields seems to be vital by considering the present situation. The main purpose of this ...
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Introduction: By considering daily progress of advanced technology and unimaginable advances in the management technology region, demand to educate and improve working personnel of administrative health and hygiene fields seems to be vital by considering the present situation. The main purpose of this study is to specify the educational demand of health care management graduates who are working as managers, VP or experts of hospitals and other related health centers in Isfahan, Iran. Methods: In this descriptive survey study, 67 health care management graduates working in Isfahan University of Medical Sciences were enrolled, in 2008. The study tool was a researcher made questionnaire in three dimensions. Reliability and validity of the questionnaire was confirmed by experts and calculating the Cronbach's alpha coefficient (α = 0.75), respectively. Study population was selected by stratified randomized method. All of these data were analyzed by SPSS statistical software. Results: The first priority need of study population from the three studied domains was operational and technical skills with mean score of 3.49 +/- 0.12. Among the operational and technical skills familiarity with computer and software use had the highest score. Among the theoretical and conceptual skills globalization and multi-cultural organizations had the highest score in health care management graduates. Conclusion: In fact operational needs, the needs that management graduates are dealing with it daily, and the needs related to computer use and information technology considered as the most important needs of operational skills. It is necessary that educational planners consider mentioned needs in the setting of annual program. Keywords: Education, Continuing; Health Services Administration; Education, Professional; Needs Assessment.
Maryam Yaghoubi; Saied Karimi; Ahmad Reza Raeisi; Marzieh Javadi; Nasrin Sharbafchi
Volume 7, Issue 2 , June 2010
Abstract
Introduction: Old methods of administrating cannot cover the rapid changes today. These changes redounded new organizations like learning organizations to be formed. The purpose of this research is to Study of Relationship between the Learning Organization and Organizational Commitment among hospital ...
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Introduction: Old methods of administrating cannot cover the rapid changes today. These changes redounded new organizations like learning organizations to be formed. The purpose of this research is to Study of Relationship between the Learning Organization and Organizational Commitment among hospital managers.Methods: This is a descriptive analytic survey. The population of study was 210 nursing managers of 9 educational hospitals. Data gathering was done via learning organizational and organizational commitment questionnaires. Data analysis was done in SPSS software.Results: The mean score of learning organizational was 59.5 ± 18.5 among nursing mangers, and the mean score of organizational commitment was 60.8 ± 10.8. In general there was a significant relationship between learning organizational and organizational commitment based on Pearson test.Conclusion: In today's changing environment of very rapid changes seen in different areas of science and technology and the increasing complexity and dynamics of environmental factors, only organizations can survive and remain capable of growth that active adaptation (dynamic equilibrium). This aim can be fulfilled just in learning organizations.Keywords: Organizations; Administrators; Hospitals; Teaching.
Ahmad Raeisi; Sakineh Saghaeiannejad Isfahani; Saeed Karimi; Mohammad Yarmohammadian; Asghar Ehteshami
Volume 6, Issue 2 , September 2009
Abstract
Introduction: Since, accurate, appropriate, precise, timely, valid information, and valid interpretation of information is required and the basis for policy and decision making and planning in various levels of the organization management, this study was conducted to evaluate the district health information ...
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Introduction: Since, accurate, appropriate, precise, timely, valid information, and valid interpretation of information is required and the basis for policy and decision making and planning in various levels of the organization management, this study was conducted to evaluate the district health information system evolution in Isfahan province according to World Health Organization framework. Methods: This research was an applied, descriptive cross-sectional study, in which a total of twelve urban and eight rural facilities, and one district health center at Falavarjan district were surveyed by using a questionnaire with 334 items. Content validity was confirmed. The reliability of the questionnaire was confirmed with a Cronbach's alpha of 0.99. Obtained data were analyzed with SPSS software and descriptive statistics were used to examine measures of central tendencies. Results: The mean score of evaluation of district health information system framework was 35.75 percent. The maximum score of compliance with district health information system belonged to the data collection process (70 percent). The minimum score of compliance with district health information system belonged to information based decision making process (10 percent). Conclusion: The results showed that information entities of the district health information system in Isfahan province are not in compliance with WHO framework. Consequently, it seems that health system managers engaged with underlying policy and decision making processes at district health systems should try to restructure and decentralize district health information system and develop training management programs for their managers.Keywords: Hospital Information Systems; Management Information Systems; Information Management; Decision Making; World Health Organization.
Saied Karimi; Maryam Yaghoubi; Alireza Rahimi; Mohamad javad Ale-mokhtar
Volume 5, Issue 1 , March 2008
Abstract
Abstract Introduction: Increasing costs in almost all of the governments and organizations persuade them to analysis their services in financial and economic dimensions. Because of increasing unnecessary costs, community is limited to achieve social effective goals for health services. We surveyed cost ...
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Abstract Introduction: Increasing costs in almost all of the governments and organizations persuade them to analysis their services in financial and economic dimensions. Because of increasing unnecessary costs, community is limited to achieve social effective goals for health services. We surveyed cost accounting of Isfahan University of Medical Sciences database to to assess its cost benefit. Methods: Current research was descriptive and retrospective. Data collection was carried out through a checklist considering human resource expenditure, consuming material expenditure, capital material depreciation expenditure and Purchase fee. Then the average of expenditure was compared with the amount of article use in each database (Proquest, Blackwell, Springer, Ovid, and Elsevier). Results: Among databases, Elsevier had the most and Springer had the least cost benefit. Conclusion: Manager of informatics system must use management techniques, such as cost analysis method, to make the best decision to decrease the costs. Keywords: Cost Benefit Analysis; Cost and Cost Analysis; Databases; Universities
